Maddy Mauricio
Yorba Linda,CA
Overview
13
13
years of professional experience
Work History
Account Manager / Medical Claims Specialist
Acme Billing Solutions
Irvine, CA
08.2021 - Current
- Manage the full claims lifecycle for multiple multimillion-dollar behavioral health and substance abuse treatment facilities, overseeing portfolios that generate approximately $2M in monthly revenue.
- Serve as the primary liaison between facilities and insurance carriers, ensuring accurate and timely reimbursement while maintaining strong client relationships.
- Compile and review detailed medical records to support claims, appeals, and audits in strict compliance with HIPAA regulations.
- Investigate and resolve claim denials through targeted appeals, contract interpretation, and payer escalation, consistently recovering significant reimbursements.
- Monitor revenue performance against quotas, identifying trends and implementing process improvements to maximize cash flow.
- Coordinate accounts payable and receivable activities to ensure precise financial tracking and reporting.
- Partner with facility leadership to develop strategies for reducing claim turnaround times and improving overall revenue cycle efficiency.
Assistant Manager / Cheesemonger
The Cheese Shop
Costa Mesa, CA
07.2018 - 12.2020
- Managed daily store operations, including inventory control, vendor relations, and order fulfillment.
- Delivered exceptional customer service through product knowledge, pairings, and presentation.
- Trained and supervised staff, tracked sales goals, and implemented merchandising strategies.
Cook
Oliboli Donuts
Tustin, CA
10.2018 - 12.2018
- Prepared artisanal donuts and baked goods in a commercial kitchen.
- Operated commercial fryers and adhered to food safety protocols.
Barista / Shift Supervisor
Grow Coffee + Tea
Anaheim, CA
09.2015 - 06.2018
- Managed daily café operations, trained staff, tracked sales goals, and provided excellent customer service.
Barista / Cashier
Starbucks
Orange, CA
06.2014 - 09.2015
- Crafted specialty drinks in a high-volume environment and managed POS transactions.
Shift Supervisor
Blockbuster
Placentia, CA
08.2012 - 02.2014
- Supervised staff, handled cash management, tracked budgets, and met sales goals.
Education
High School or equivalent - undefined
Skills
- Medical Claims Processing & Benefit Verification
- HIPAA Compliance
- Accounts Payable & Accounts Receivable
- Denials Management & Appeals
- Revenue Cycle Optimization
- Root Cause Analysis
- Client Relationship Management
- Cross-functional Team Leadership
- Customer Service Excellence
- Inventory & Vendor Management
CUST
Willing to relocate: Anywhere | Authorized to work in the US for any employer
Timeline
Account Manager / Medical Claims Specialist
Acme Billing Solutions
08.2021 - Current
Cook
Oliboli Donuts
10.2018 - 12.2018
Assistant Manager / Cheesemonger
The Cheese Shop
07.2018 - 12.2020
Barista / Shift Supervisor
Grow Coffee + Tea
09.2015 - 06.2018
Barista / Cashier
Starbucks
06.2014 - 09.2015
Shift Supervisor
Blockbuster
08.2012 - 02.2014